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Monitoring Donor Lungs On A Perfusion Machine

Ohio rates for HCPCS 0495T

A clinician starts up and then monitors a circuit that keeps donor lungs warm, ventilated and perfused outside the body, assessing how well they work. Pressures, flows, gas exchange and lung stiffness are measured and recorded, and examinations such as a scope inspection of the airways or an X-ray may be done as part of the assessment. This covers the initial period of that monitoring.

Rates data updated July 2026.

How much does Monitoring Donor Lungs On A Perfusion Machine cost?

$427

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $6,166 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$347$316 to $468
FacilityA hospital or hospital-owned outpatient department$6,166$3,090 to $10,715

How much rates vary

Facilitymedian $6,166 · 10th to 90th $891 to $12,589Professionalmedian $347 · 10th to 90th $295 to $871
$100$200$500$1K$2K$5K$10Kfacility $6,166professional $347

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$9,549.93
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$323.59
Typical High
$10,232.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,548.13
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$389.05
Typical High
$630.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$4,786.30
Typical High
$45,708.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$5,248.07
Typical High
$9,120.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$60.26
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,884.03
Typical High
$6,165.95
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$380.19
Typical High
$691.83

Where Ohio sits

The same service costs 14.8 times more in Colorado than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Ohio· 17th of 51

$427

CO $3,311ND $224

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.